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8880 SW EDGEWOOD STREET ADDRESS: ISM MA-) i-.Vecordslmicroflmltargetslbuilding.doc CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspect;on: � -�' of Footing Susp. Ceiling Sprink Rough-in Appr/Sdwl. Foundation Plbg. Underslab Mech. R(_qh-in Fireplace Post(Bearr Struct. Plbg. Top Out Elec. Rough-in 9 FII4A Post/Beam Mech. San. Sewer Gas Line -Bldg Flbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Li-re insulatio,i -Mech. Underflr. Insul. Shear V1 ;i ' E'YP-Bd•�-�nQ� -Elect. Date Requested:_ r}�• J�j Time: AM PrJI Address:___5 5 S Builder. �y ;�' �� C Permit THE FOLLOWING CpRPECTIONS I , -7 " ""q Inspector: f Date: �O, a5 z- _APDROVED __DISAPPROVED '!"APPROVED SUBJECT TO ABOVE _Call F-)r Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639.4175 Busines.• Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Posk/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall 3yp. Bd. ect Date Requested: E5�, ;L— Time: AM _PM Address: - 7 Builder:—_ -- Permit THF i OLLOWING CORRECTIONS ARE REOUIRED:49J 1 �- �o,r Q �-7 Inspector: L Dater'' /X XIPPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE ____Call For Reinsp. V� r_ I - lil TGi� r7 rv. INSPECZIION NOTICE \ City o. Tigard Building Depwrtaant 1.3125 99• Ball Blvd. Tigard. oregoa 97223 I J Inspecti.on Line (Rec-O-•Phone): 639-4175 Business Phones 639-417 }`! Inspections — Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Car Line PINALs Post/Beem Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line &D -Koch. /2 Date Requested: (` 7e,/� Time: _j&_11M —PM / y �7 q41 Address: 4J `" �'L"fs )—� Permit fs Bu i lder sLL�G-�--- TBE FOLLOWING OORRRCTIONS ARE REQUIREDs -ST�i�S• c-•-�2t � - ---- --�� �"�-1� �/i•,��>�ter– _—, I Inapector: Datos 9� LL_ APPROVED DISAPPROVRD SUBJECT TO ADOVR Call For Reinev. Z§ACaI A !i0�ICB City of Tigard Brsilding Departzwnt A 13125 BW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rev-0-Phone)-. 639-4175 Business Phone: 639-4171 Inspection: FA-oting Plbg. Underalab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struet. Ran_ Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line / -7/7 Opp. Bd. -Hoch. Date Requesteds �� I //7 Tice: ———AM PM Addresss U V �J� Permit Builder: TRZ FOLLOWING CORRECTIONS ARE REQUIRED: 1 /,V �- .9Po�� w i/l.Af7d AL/- Inspector:_._ � Date s APPROVED DISAPPROVED p SUBJE:."f TO ABOVE ___Call For Reinap. j�8 ECTION NOTICB City of Tigard Puilding Departnnet 13125 sR Hall Plvd. Tigard, Oregon 97223 =nspection Line (Rec-O-Phone)s 639-4175 Business Phone: 3 -4171 Inspection: Footing Plbg. Undorrlab Koch. Rough-in Appr/Sdwlk Found. Plbg. T.:p Out Oa■ Line FINAL: Pont/Beam Struct. San. Sewer Trading ) -Bldg. Post/Beam Koch. Rain Drain Insulation -Plump. Plbg. underfloor Water Line !J Gyp. Bd. -Koch. Date Requefr`te�(A /}� `: ( 'I �lD (� I T ! PH Address:_ /V`V�� �/� Permit Ott-5i Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: WE Inspector:_ APPROVED DISAPPROVED ^APPROVED SUBJECT TO ABOVR _Call For Reinsp. rI SPECTIO14 ttoTIgA i -'" Cit? or Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (nec-�-Phone)s 639-4175 Buainess Phones 639-4171 Inspection: rooting Plbg. Underslab Hoch. Rough-in Appi-/Sdwlk onn ! Plbg. Top Out Gas Lina FINALS Font/Beam Struct. San. Sewer Framinq -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line / Gfp. ed. -Hoch. D,!kta Requesteedt r Tima: p�� Mgt�� _PH Address:_�� ��v U Permit f 2#ja L.7 , )_4 Builder: THE FOLLOWING cmRECTIOrB ARE REQUIRED: i Inspector:_ f ---------- —_. Dar-:, -_ APPROVED _ DISAPPROVHD �y APPROVED SUR.lECI TO ABOVE call For Reinsp. NOMMMMMMMMMIMPEnq INSPECTION NOTE City of Tigard Wilding Departaent 13125 SW Sall Jlyd. l'igrrd, Ore9cm 97223 Inspection Line (Rec-O--Phone)= 639-4175 Busineso Pho,.:s: 6 -4171 Inspection:_. Wtin9> Plbg. Underslab Hoch. 1..,. j;:-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -plumb. Plbg. Underfloor. Mater Line Gyp. Bd. -Hoch Date Requesteds _Q Z � - Time: AN Address:_ Permit t Builders TNR FOLLOWING CORRECTIONS ARE REQUIRED: 3"� —►�'�'—`� ecce T ' f_ /�f / E"�,e F-- Inspector: V A �2 _ APPROVED nISAp __ _ PROVED APPROVED SUBJECT TO gBOVR _Call For Reinap. PERMI • CITY OF TIGARD PERMIT #ER. . . . : TMST94-026- COMMUNITY -'.""ELOPMENT DEPARTMENT DAA E ISSUED: 07/12/94 13125 SW Hell Blvd.1'IQsn',-lregon 97223*8129 (503)63Q-4171 PARCEL. LIS 102DD•-00903 SITE ADDRESS. . . : 08880 SW EDGEWOOD ST SUBDIVISION. . . . : EDGEWOOD ZONINGe R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . .. . . . . . . . . :G BUILDING REISSUE: DWEL.1_1IVG UNITS:0 BASEMENT. . . . . . . . :0 s f CLASS OF WORK. :ALT BEDRMS:O DATHS:O GARAGE. . . . . . . . . . :0 sf TYPE: OF USE. . . :SF FLOOR AREA5—--_ -- -- REQUIRED SETBACKS----------- TYPE TYPE OF CONST. :5N FIRST. . . . :200 sf LEFT. . :0 ft RIGHT. :0 ft: OCCUPANCY GRP. :R3 SECOND. . . :0 sf F'RONT. :O ft REAR. . :0 t i; STORIES. . . . . . . :0 THIRD. . . . :0 sf REUUIRED---- HEIGHT. . . . . . . . . ED---_HE.IGHT. . . . . . . . . 0 ft TOTAL.------:200 s f SMOKE DETECTORS. : FLOOR LOAD, . . . :40 psf VALUE. . . . . f : 14000 PARKING SPACES. . :O R marks : ENC .')SING LOWER DECK ON SOUTH SIDE OF HOUSE APPROX. 200 Sly. FT PLUMBING SINKS. . . . . . . . . . :0 FLOOR DRAINS. . . . -0 BAC'�FLOW PREVNTRS. . :0 LAVATORIES. . . . . :0 WATER HEATERS. . . :0 TRAP3. . . . . . . . . . . . . . :0 TUP/S:HOWERS. . . . :0 LAUNDRY TRAYS. . . :L71 CATCH BASING. . . . . . . .0 WATER CL_OSETC�. . :0 S=EWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 D I SHH ASHERS. . . . :0 WATER LINE (ft ) . :0 OTHER I-I X'TURES. . . . . :0 GARBAGE RAIN DRAIN (ft ) . :O WASHING MA:H. . . :0 SF RAIN DRAINS. . :0 MECHANICAL _.._......._..._.___.____.__....__.________..__. _..___-- FEES FUEL "TYPES------------ UP'IT HTRS. . :0 type amount by date reap. VENTS . . _ :0 BF'RT $ 110. 50 .TG 07/12/94 -- MAX INPUT :0 BTU VENT FANS. . :O BF'1_C $ 71. 83 JF 07/ 11/94 94-254331 FURN ( 100K . . :0 HOODS. . . . . . :0 B50C f 5. 53 JG 07/12/94 — FURN ) =100K . . :0 WOOLSTOVES. :0 FLOOR TURN. . . . :0 CLO DRYERS. : 0 BOIL/CMP ( 3HP:0 OTHER UNITS:O GAS OUTLETS:O Owners -- - —_______._____.________—______-•-___-- MICHAEL. MCELEVEY x3880 SW EDGEWOOD 5T TIGARD OR 9722T Phone #: Contractor: - ------ ___._._____----------_---- CONTRACTOR NOT ON FILE Phone #: 'a 1.87. 86 TOTAL This permit is issued subiect to the regulations contained in the ---- -- - REQUIRED INSPECTIONS ------ Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foUnd Insp Building Final applicable laws. All Mork will be done in accordance with approved Post,-'Beam Struct Erosion Control plans. This permit will expire if work is not startfd within 186 Post/Beam Mechan Crawl train days of issuance, or if work is suspended for more than 186 days. Mechanical Insp � Framng Insp Fermi.ttee G a.t;�_lre : �' IramiIn Insp / \\ --- _ __._ _-- Gyp p Board Insp I s s r.l P(j N y L_ _ s.1 --.--.--------. Mechanical F inal Cal 1 for' IT)-,pef t 1 0n - 639-4175 CITY OF T.:CARD RECEIPT OF- PAYMENT RECEIPT NO. s94--iR'.1-541+14 CHECK AMOUNT v 116. 48 NAMF_ MCELEVEY, CATHY CASH AMOUNT a 0. 00 ADDRESS t PAYMENT DATE a 07/ 12/94 SUBDIVISION PURPOSE OF PAYMEP AMOUNT PAID PURPOSE OF PAYMENT AMOUN-r PAID BUILDING PLRM MST94-0265 110. 50 ST. BUILD PER 5. 5.3 PLAN CHECK FF 0. 45 61180 !.iW EDBEWOOD '10TAL AMOUNT PAID 116. 48 Wo I`�, Residential Building Permit Application (` City of 'Tigard - 1312,5 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: Subdivision: �GY�Eu?ObC7 Lot # Office Use O 1 uation• (2a i 20b9t,,3) LEILI,- Permit # Owner: fr _ f!T/1`l Alf* IJC o� / Reissue of Address: Map & TL # - 3 rc Phone: _— a' -j%– R3?.7 Ap�rovats R utresl Contractor: t''lanru�i9 ���`_ .� Engineering Address: ----.--------- Other Phone: Items Requlred Contractor's License # /�,�� Subcontractors (attach dopy of current Oregoi license) Truss Details Contact name 8 phone: - --- �_------ t)iher Subcontractors: Plumbing: /U�/�► Mechanical: (attach COPY current OR Contrackr's Limnse) / ArchttecttEngineer. k. -ha I'I'"r 5� YL, ` �t �� '' Address: je, SoW � �~ 1 Phone: JOB DESCRIPTION: Re"low TUr dec- ox z + ^,2w �1 . J r � nt signal $ ne number Received by: Date Received: Pen;lit # Ar^,oust Description Amour.i Amt. Pd. Bal, Due 3kiy. Farmil (BUILD) Pwmb. Permit (PLUMB) _ Mech. Permit (MECH) , State Tax (TAX) s 3ldg: —SS 3 Plui.lb: Mech: Plan Check (PLANCK) -71 Bldg: -7113 / Flumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) _. Parks Dev Charge (PKSDC) Storm Drvinage Chg (SDSDC) !_ Residerniai i IF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) — Industrial TIF (TIF-I) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WOUAL) �.�.. Water Quantity (WOUANT) _ Fire District (FIRE) ._— Erosbn Crrtrl Pemrt (ERPRMT) Erosion Plancl0l" (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: CITY UP lIGARD RECEIP4 OF PAti'MENr RL-.Gf-.'l P I NO. v94—e.:*p433J CHECK AMOUNT a 71. 38 NAME t MCEL.ECEY CASH AMOUNT a 16. 00 ADDRESS a 86BLA SW E.DaEWOOD ST PAYMENT DATE. s 07/11/94 TIGARD, ORE13ON SUBDIVISION 9 7 c?2 3— PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENI AM1.11 IN I PAI L) PLAN CHECK F"E TI. 3s 8880 SW EDGEWOOD EDGEWOOD LO'Tf,/Jql TOTAL AMOUNT 1='h11I) 71. :38 INBPECTION NOTICE Cit? Of Tigard Building Department 1-'125 SII [hall Blvd. Tigard, Oregon 97223 Inspection Line (Ree-O-Pho/n�a)e 639-4175 Business Phones 639-4171 Inspections_ hamc. Al � ,/� Footing Plbg. Underslab Hoch. Rough-in Appr/sdwlk FOUk.A• Plbq. Top Out Gas Lina E131dg m Post/BeaStruct. San. Sewer framing Post/Beam Nech. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater. Line Q Gyp. ed. Date Requested' ,__.L ( 7,,,/ 1 TLees �—AN PN ► Addreass�Q (r(JC.� �7_ Permits����/ Buildera—M el TNR FOLLOHING ODRRECTIONS ARB RBQUIREDs I)Y h l �9 6.) - V3tJ Torn C,0 - /;V(� „Oar► — Inspectors Dates 4PPROVED DISAPPROVRD APPROVRD SU Cf TO —_ Call For Reinap. -- INSPECTION NOTICE City of Tigard Building Department 13125 811 Ball Blvd. Tigard, Oregon 9722Q� Inspection Line (Rec-O-Phone)e 639-4.175 Business Phones 639-4171 Inspections Footing Plbg. nderslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Strur_t. San. Sewer Framing �, -Bldg. Poet/Beam Mach. Rain Drain Ineulat.ton ~ -Plumb. Plbg. Underfloor Nater Line Gyp. Ed. -Mach. l Date Requeateds 4.)-�/- 7Timeess 'Z-1—M ^ PM Addreass k-4- U f 71Z���lar5mit - Builders 1 THE FOLLOWING CORRECTIONS ARE REQUIREDs ' _ I Inspector % Dates APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinnp. INSPECTION MICE CttT of Tigard Building Deparbonat 13125 BR Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Bueiners Phone: 639-4171 Inspections Footing Plbg. Underalab Mech. Rough-in Appr/Sewlk Found. jPlbg. Top Out Gas Line PINALs Post,/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain insulation -Plumh. Plbg Underfloidl,, Water Line Gyp. Bd. y rC�Mech. Date Requested:_ _Time AM PM ki 51 � Address: G� ��(� i 1���1i,�G'/_� —_ Permit Is 7fBuilder: THE FOLLOWING CORRECTIONS ARE REQUIRED: t Inspector _ Date: — APPROVED DISK`^ROVED APPROVED SUBJECT TO ABOVE Cell For Roi.nnp. CITY OF TIGARD OREGON April 6, 1992 7 � Michael McBlevey 8880 SW Bdgewood Tigard, OR 97223 Res 8880 SW Sdgewood Permit #MST 91-0145 Dear Sir: The last inspection conducted on the above project was a gypsum board inspection on July 31, 1991. The next required inspection will be a final inspection. Please advise the Building Division of the status of this project as soon as possible so the file may be kept current. Please note that any permit without activity for over 180 days becomes void. if you need additional time to complete the project, please contact this department so that an extension can be discussed. Sincerely, Brad Roast Building Official t � , 10 Notice.A "` 13125 SW Moo BMd..P.O.Boot 23397,Tigard Oregon 97223 (503)639-4171 INSPECTION NOTICE City of Tigard Building DepartmenIL P.O. Box 23397 Tigard, Oregon 97223 t Phone: 639-4175 Type of Inspection Date Requested/�C� 1'—�� Time_—Z A.M. P.M. Address Permit # Ownq( _— Lot # _ Builder �/C The following Building Code deficiencies are rjquired to be corrected: I i i Presented to A ��pproved — Inspector —_ ] Disapproved Date � —�— CALL FOR REINSPWTION f ) YES f .I NO INSPECTIO(i -COTIC& City of Tigard Building Departasant 13125 BA Ball Blvd. Tigard, Oregon 97223 WA Inapection Line (Mc-o-Phone)s 639-4175 Business Phones 639-4171 Inspections Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. Ban. Sower Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Yater Line Gyp. Bd. -Mach. Data RequartedsTimee AM "QPM Rddreses—�� [J ,�f� -P%vitI L' -- Builders C -C TM FOLLOMIM ODRRECTIONS AREUIRED: cz InetAPPR Date: OVED v DISAPPROVED _ — APPROVED SURJSCf TO ABOVE __.Call For Ralnnp. C'TYOFTIFARD MASTER PERMIT COMMUNITY DEVELOPMENT DEPARTMEPIT at CnYOF PERMIT #. . . . . . . . MST91-0145 (rim 13126 SW Hdl Blvd P.O.BM 23397,719W,Orepn W/ (603)64 *417b C7 1 7 — _L ' - r)ATP T_qc;1jrn-_ i-A7/,-,A/c41 '31TE ADDRESS. . . : 8880 SW EDGEWOOD ST PARCEL: 2SI02DD-00903 5LIBDIVISION. . . . : EDGrWOOD ZONING: R-4. 5 JALOCK. . . . .. . . . . . : LOT. . . . . . . . . . . . :6 ------------------------------------ BUILDING REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 s CLASS OF WORK. :ALT DEDRMS:O BATHS:0 GARAGE. . . . . . . . . . .0 of TYPE OF US(=. . . :SF FLOOR AREAS------- REQUIRED SETBACKS----------- TYPE OF CONST. :5N FIRST. . . . :0 sf LEFT. . :O ft RIGHT. :0 ft OCCUPANCY GRP. :R3 SECOND. . . :0 Sf FRONT. :0 ft P'_HR. . :0 ft STORIES. . . . . . . :0 THIRD. . . . :0 sf REQU I RED-------- HEIGHT. . . . . . . . : 0 ft 0 sf SMOKE DETECTORS. : FLOOR LOAD. . . . -40 psfVALUE. . . . . $- 5000 PARKING SPACES. . sO Remarks-. changing bath room around moving some inter walls installing 3 window PLUMBING STNKS. . . . . . . . . . ..0 FLOOR DRAINS, . . . :0 BACKFLOW PREVNTRS. . iO LOVATORIES. . . . . :2 WATER HEATERS. . . :0 TRAPS. . . . ., . . . . . . . . . :0 J U B/SHOWE R S. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . : 1 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . :0 WATER LINE (ft ) . :O OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . .0 RAIN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF RAIN DRAINS. . -O MECHANICAL ......------- ---------------- FEES FUEL UNIT HTRS. . -0 type amount by date r9cpt VENTS . . . . . .0 BF-,RT $ 50. 50 JLH 07/26/91 MAX INPUT%O BTU VENT FANS. . 42 BPLC $ 32. 63 JLH 07/26/131 FURN < 100K . . :0 HOODq. . . . . . ..Q( B5PC $ 2. 53 JLH 07/2'6/91 FURN ) =100K . . -0 WOODSTOVES. :0 MPRT $ 20. 50 JLH 07/(-6/91 P'LIJOR FURN. . . . :0 CLO DRYERS. : I MPLC $ 5. 13 JLH 07/26/91 BOIL/CMP ( 3HP:O oTHER UNITS:@ M3PC $ 1. 03 JLH 07/26/91 GAS OUTLETSsO PPRT $ 45. 00 JLH 07/26/91 Owner-. P5PC $ 2. 25 JLH 07/26/91 MICHAEL MCELEVEY 8880 SW EDGEWOOD ST TIGARD OR Phone #: Contractor: OWNER Phone 159. 77 TOTAL I This permit is issued subject to the regulations contained in the ——————— REQUIRED INSPECTIONS ------ -- Tigard Municipal rode, State of Ore. Specialty Cedes and all other PLM/Underfloor Building Final applicable laws. All work will be done in accordance with approved Mechanical Insp Erosion Control Plans. This permit will expire if work is not started within 180 Plumb Top Out days of issuance, or if work is suspended for were than 180 days. Framing Insp Insulation Insp i ,r,I m i Gyp Board Insp Mechanic-Al Final Plumb Final. �/ Call for inspection - 639-4175 CITY OF TIGA 4D PECEIPT OF PAYME141' RECEIPT NO. a91—P-1760 CHECK AMOUNT a 159. 77 ��AME s MCEt,.EVF:ilyl MICHAEL CASH AMOUNT —0- 00 i 'ADDRESS % SbaO SW' EDGrz*W(3(]D ST PAYMENT DATE 07/26191 � SUBDIVISION TIGARD, , OR 97223— PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENI' qAtODUNT PA I D PTj f RM 50. 50 FLUM31NO PERM 45. 00 'MECHANICAL PE 20.0151a ST. BUILD PER 131 'PLAN CHECK FE 37. 96 I'Ol'Al- AMOUNT PAID 159. 77 won* CITY OF TIGAFID - RECEIPT OF PAYMENT RECEIPT NO. 191-213760 ' CHECK AMOUNT i 15tl. 77 fNAME i MCELCVMICHAEL CASH AMOUNT i k?• �� ADDRESS a 88130 3W' EDGEWOOD ST PPYMENT DATE a 07/,:16/91 � SUBDIVISION i T I OARD, R OR 97223— PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF r*AYMENT � IfWUNT PAID EU I t_D I Na�(' RM—� ~~� 5i. 50 PLUMB I NO PE RM'l ~ Y y-45. ®0 'MECHANICAL PE 20. 50 ST. BUILD PER 5. 81 'F-',LAN CHECK FE 37. 96 TOTAL AMC NT PO I D _ _> 159. 77 .-...w. � "d! CGL / _ 71421 CITY OF TIGARD ulusw 23397iall a PERMIT ECT # _ ['OFio:27397 PERMIT # COININIUNM DEVELOPMENT DEPARTMENT Tigud.Omgon97V3 (503)639-,171 DATE ISSUED JOB ADDRESS: _ ��0 ��� E�gPux�d J� TAX MAP/LOT A5 VP a� 9�3 SUB: LOT:4- 2,SlZDb00g0', _ LAND USE: y VALUATION: OWNER ,r1 ,, -PLCIAL NOTES NAME: /V�/ P Me,ELREISSUE OF: ADDRESS: A20 L2Y.U2Qe LAST REISSUE: Or2_ gnz-3 FLOOD PLAIN/ PHONE: ✓e 20 pm SENSITIVE LAND: _ CONTRACTOR APPROVALS REQUIRED NAME: _ PLANNING: ADDRESS: i_ ENGINEERING. FIRE DEPT: _ PHONE: OTHER: CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: MECH: � ' _�_ BUS 'TAX: ABLH CNGINEER CALCULATIONS: NAME: -�l� __ TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: _ — - COMMENTS: APPLICANT SIGNAT Received By: Date Received: PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. -DUE 0 10-432 00 Building Permit Fees J� - 10-431 OC Plumbing Permit Fees 10-431 01 Mechanical Permit Fees ,>•u 10-230 01 State Building Tax (5%) Building ? j Plumbing ✓' Mechanical 3 10-433 00 Plans Check Fee J 7't6 . 3 ?•�G Building4',i, Plumbing Mechanical ' 10-230 06 Fire — 30-202 00 Sewer Connection 30-444 00 Sewer Inspection _ 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees _ 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees _ — 25-448-01 Residential Traffic Fees _ 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 31-430 00 Storm Drainage Syst Dev Chrg (SSDC) 24-445-0I Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL _i nm/3587P.WPF 1 I I i 4y, IZ Pa . " 5HEEr Rack �Jy1.. �•0 " �fiwtC�•f 5 _ {{ Oj _ I ou x /4I Ced4r L&e s,d,k� ----.- -- ,2X4 WA Z ' zX4 Wau_ 24D.C. q-X HeaAer Ij _ ; I 9 0 CL CIO cam. J w - M HE 6T kO M 5A X11.1, � ..,..... .,.._... ... ........�_ 34�� I�art�C�e 3pGlr� ; i 2,x 2, �u.rr;n g 11�7 O.C. j { SCALE SCALE- ,. i M. 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